Individual provider Active NPI

Thato Mthenjane

  • Peer Specialist
  • Atlanta, GA
National Provider Identifier
1245101724
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
50 Lenox Pointe NE Ste a
Atlanta, GA 30324-3103
Phone
(678) 824-6590
NPI assigned
Sep 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X GA
Peer Specialist 175T00000X GA Primary

Addresses

Primary practice location

50 Lenox Pointe NE Ste a
Atlanta, GA 30324-3103

Mailing address

870 Moreland Ave SE
Atlanta, GA 30316-2663
Phone (470) 433-1751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1245101724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MORELAND AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162663",
            "telephone_number": "470-433-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LENOX POINTE NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243103",
            "telephone_number": "678-824-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MTHENJANE",
        "first_name": "THATO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.